Provider Demographics
NPI:1750835047
Name:KEMBER, SANTIAGO (LMHC)
Entity Type:Individual
Prefix:MR
First Name:SANTIAGO
Middle Name:
Last Name:KEMBER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3423
Mailing Address - Country:US
Mailing Address - Phone:305-642-7600
Mailing Address - Fax:
Practice Address - Street 1:2010 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3423
Practice Address - Country:US
Practice Address - Phone:305-642-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH13995101YM0800X
FLMH15358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health